VBS 2011 Registration Form
August 8-12, 9am-12pm; Pre-K thru Grade 6; $20 per child/ $60 family maximum

* indicates required fields 
  *Parent Name:
  *Home Address:
  *Phone:
  *Emergency Phone:
  *Email:
  Home Church:
  *Child's Name:
  *Grade in Sept.:
  *Known Allergies:
  Child's Name:
  Grade in Sept.:
  Known Allergies:
  Child's Name:
  Grade in Sept.:
  Known Allergies:
  *Are you a parent interested in volunteering?:  Yes, please contact me.
 Possibly, please contact me.
 Not at this time.

Please click on the Submit button to submit the completed form. Checks made out to NMCC can be mailed to: Sharon Mallon, NMCC VBS, 1271 Durham Rd, Madison, CT 06443. Please contact Sharon with any questions (nmcc.ce@cshore.com). We look forward to having your child join us!

 
 

 
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